Pastest Buzzwords

Question 0

Man presents with lethargy and jaundice and macrocytic anaemia. He has a raised PT. LFTs show raised ALP and GGT, (alcohol excess). He is vomiting fresh blood.

Answer 0

Oesophageal varices

Question 1

“Hunger” pains ie worse before meals. Dyspepsia and burping. Upper GI pain.

Answer 1

Duodenal ulcer

Question 2

67 year old woman with severe LIF pain. Vomiting, pyrexial. Guarding but no peritonism.

Answer 2

Acute diverticulitis

Question 3

Asymptomatic lesion found in the ileum about 60cms from the ileocaecal valve. Diagnosis of exclusion. Demonstrated via a radionuclide scan using technetium-99.

Answer 3

Meckels diverticulum

Question 4

Recent pulmonary oedema following a surgery (anaesthesia) with no past medical history.

Answer 4

Iatrogenic ( Myocardial ischaemia results in underperfusion of the kidneys resulting in oliguria and fluid retention)

Question 5

Young Man with increasingly (4/7) SoB, severe chest pain and fever. Previously fit and well. He has a gallop rhythm but no murmurs. Normal heart size. ECG shows extensive ST elevation in anterior and inferior leads without Q waves.

Answer 5

Myocarditis

Question 6

38 year old woman with 2/7 Hx of abdo pain and vomiting. Epigastric tenderness and very high serum amylase. Persistently hypoxic and deteriorating rapidly with pulmonary oedema. PaO2 of 5.1 kPa despite 60% O2. Low albumin.

Answer 6

ARDS (due to capillary leakage)